Provider Demographics
| NPI: | 1396259719 |
|---|---|
| Name: | ESPECIALLY ADAPTED SERVICES, INC. |
| Entity type: | Organization |
| Organization Name: | ESPECIALLY ADAPTED SERVICES, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER/OPERATOR |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | JULIE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MAXWELL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 480-495-8079 |
| Mailing Address - Street 1: | 8712 E VIA DE COMMERCIO STE 8 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SCOTTSDALE |
| Mailing Address - State: | AZ |
| Mailing Address - Zip Code: | 85258-3362 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 480-495-8079 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 8712 E VIA DE COMMERCIO STE 8 |
| Practice Address - Street 2: | |
| Practice Address - City: | SCOTTSDALE |
| Practice Address - State: | AZ |
| Practice Address - Zip Code: | 85258-3362 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 480-495-8079 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2017-11-21 |
| Last Update Date: | 2017-11-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
| No | 225A00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Music Therapist | Group - Multi-Specialty | |
| No | 251300000X | Agencies | Local Education Agency (LEA) | ||
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | ||
| No | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
| No | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | ||
| No | 261QH0700X | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech | |
| No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | |
| No | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | |
| No | 385H00000X | Respite Care Facility | Respite Care | ||
| No | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child | |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |
